LTSS Care Manager: Care Coordination & Outcomes

Molina Healthcare, Inc.; Marysville (WA); Presencial; USD 33 000 - 64 000; Tempo integral

Resumo da oferta

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS activities for members with high-need potential. You will collaborate with a multidisciplinary team to coordinate integrated care across the continuum and help members achieve desired outcomes.

Responsibilities include completing assessments, developing care plans, monitoring progress, and coordinating waiver services. Travel may be required to meet state contract requirements.

Qualificações

• At least 2 years of health care experience, including LTSS exposure.
• Experience working with persons with disabilities/chronic conditions preferred.
• Strong communication and organization skills required.
• Ability to work independently and travel as needed.

Responsabilidades

• Completes comprehensive member assessments within timelines, including in-person home visits.
• Facilitates waiver enrollment and disenrollment processes.
• Develops and implements care plans with members, caregivers, physicians, and care team.
• Monitors care plan effectiveness and documents interventions and outcomes.
• Promotes integration of LTSS, behavioral health, and community resources.
• Assesses medical necessity and authorizes waiver services.
• Evaluates benefits and explains funding sources.
• Facilitates ICT meetings for service decisions and collaborates with the team.
• Uses motivational interviewing to support member change.
• Identifies barriers to care and provides coordination support for psycho/social, financial, and medical needs.
• Identifies critical incidents and develops prevention plans.
• Collaborates with licensed care managers as needed.
• 25-40% local travel may be required.

Formação académica

Bachelor's degree in health care related field

Ferramentas

Microsoft Office

Descrição da oferta de emprego

Molina Healthcare is seeking a Care Coordinator to support care management and LTSS activities for members with high-need potential. You will collaborate with a multidisciplinary team to coordinate integrated care across the continuum and help members achieve desired outcomes.

Responsibilities include completing assessments, developing care plans, monitoring progress, and coordinating waiver services. Travel may be required to meet state contract requirements.